West Valley College Summer Bridge 2024

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Please complete the following form to apply for WVC's Summer Bridge Opportunity, happening at West Valley College from July 29 through August 2, 2024.

First Name *

Last Name *

Phonetic Spelling for First and Last name (this will help to ensure we are pronouncing your name correctly.

Example: Raul Gonzalez, rah-OOL gon-SAH-les)

Cell Number *

email * Please do not use your high school email* *

G#(if available if not, enter 0) *

Are you a recent high school graduate? (Class of 2024 or Class of 2023) *

Yes

Name of High School *

What is your t-shirt size *

XXL

Are you a First Generation College Student? (First-Generation Definition: Neither of your parents/guardian have a Bachelors degree in the U.S.) *

Yes

Are you Hispanic or Latino? *

Yes

How would you describe yourself? Check all that apply? *

Asian

Black or African-American

Native American/Alaskan Native

Native Hawaiian or Other Pacific Islander

White

Other

Required

Do you need any accommodations? If yes, please provide required accommodations. If no, please put 'n/a'. *

Do you have an Dietary Restrictions? If yes, please provide them below. If no, please put 'n/a'. *

What do you expect to gain from participating in the Summer Bridge Program? *

The summer program runs from Monday, July 29 to Friday, August 2, 2022 from 8:30am-3:30pm daily. Can you commit to participate for the entirety of the summer bridge program? *

Yes

Do you need a VTA Bus Pass or Gas Card? *

I need a VTA Bus Pass

I need a Gas Card

I do not need a VTA Bus Pass or Gas Card

Submit

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